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Integrated multi-omics analysis identifies candidate eRNA-associated signatures shared between osteoarthritis and
Danni Huang1, Junying Wu2, Jinhua Chen3
1Division of Orthopaedics and Traumatology, Department of Orthopaedics, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong Province, China.
Frontiers in Genetics
|July 31, 2026
Summary
Osteoarthritis and type 2 diabetes share inflammatory pathways, with enhancer RNAs (eRNAs) like TOB1 and CCNL1 implicated. This study identifies overlapping immune-epigenetic features, offering new research directions for these coexisting conditions.
Area of Science:
- Immunology
- Genomics
- Epigenetics
Background:
- Osteoarthritis (OA) and type 2 diabetes mellitus (T2DM) frequently coexist, sharing underlying inflammatory and metabolic dysregulation.
- Immune-epigenetic features linking OA and T2DM remain poorly understood, particularly concerning enhancer RNAs (eRNAs).
Purpose of the Study:
- To investigate overlapping molecular features, specifically eRNA-associated signatures, between OA and T2DM.
- To identify key transcription factors, candidate genes, and immune patterns shared by these distinct conditions.
Main Methods:
- Analysis of transcriptomic datasets from OA joint tissues and T2DM monocytes.
- Utilized differential expression analysis, Weighted Gene Co-expression Network Analysis (WGCNA), and CIBERSORT.
- Integrated public epigenomic data (ATAC-seq, ChIP-seq, scRNA-seq) and an in vitro high-glucose stress model.
Main Results:
- Identified 473 dysregulated eRNA-associated features in OA, linked to skeletal development, ECM remodeling, and PI3K-Akt signaling.
- Overlapping pathway alterations, including TNF-α/NF-κB and MAPK signaling, were observed between OA and T2DM datasets.
- Prioritized TOB1 as a key eRNA-associated feature linked to JUN, CCNL1, and inflammatory signaling; CCNL1 was commonly downregulated. In vitro, high glucose reduced TOB1, JUN, and CCNL1 protein levels.
Conclusions:
- TOB1 emerges as a critical eRNA-associated signal connecting JUN, CCNL1, and inflammation across OA and T2DM.
- This study provides a bioinformatics framework, supported by epigenomic and in vitro data, for understanding immune-metabolic overlap.
- Highlights potential therapeutic targets for conditions where OA and T2DM intersect.